Individual
SARA B PRESOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
213 N MAIN ST, MOSCOW, ID 83843-2700
(208) 882-7565
(208) 882-7567
Mailing address
1044 SCHULTZ RD, MOSCOW, ID 83843-8120
(541) 285-6454
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
59413
ID
Other
Enumeration date
08/22/2018
Last updated
09/11/2018
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